Delayed presentation of a serious illness
Reassuring chat keeps a patient out of clinic until the window is smaller.
AI Risk Atlas Prototype/Demo — Unofficial independent experiment. Not an official xAI product. Scores can be wrong.
Owner · Labs, regulators (FDA/MHRA-class), health systems
Statement (NASA form)
Given that a general chatbot is already a weekly health advisor for hundreds of millions of people, there is a possibility of medical decisions being made on model output that is not a licensed device, not a record, and not under a clinician’s duty resulting in population-scale diagnostic and dosing errors, and delayed care for people who trusted the chat more than a clinic.
- Condition
- a general chatbot is already a weekly health advisor for hundreds of millions of people
- Departure
- medical decisions being made on model output that is not a licensed device, not a record, and not under a clinician’s duty
- Impact
- population-scale diagnostic and dosing errors, and delayed care for people who trusted the chat more than a clinic
Experimental share of compiled public capital that names this risk. Not a certified residual.
1 public source · OWASP LLM Top 10 2026
Three hundred million people using a chatbot as a health advisor is a health system. It does not have the controls of one. The risk is not a single bad answer. It is the substitution of a product for a profession.
Simple upstream → via → downstream notes. Not a causal graph. Experimental.
Assumptions · Citation-or-silence is not treated as industry default.
Override is stored on this desk only. It does not make the score official.
Each scenario has its own likelihood and consequence. The risk takes the most severe cell. Residual applies implemented mitigations to every scenario, then re-ranks.
Reassuring chat keeps a patient out of clinic until the window is smaller.
A user acts on a specific regimen the model should not have given.
A model update shifts advice for a common condition and moves outcomes in one direction.
ChatGPT is already functioning as a weekly clinical consult for a population larger than most national health services.
Models still fabricate citations, miss contraindications, and smooth over uncertainty in a tone patients read as authority.
The same user can get contradictory advice across sessions with no reconciliation and no accountable physician.
X posts on the desk that evidence this risk. A signal can contribute to more than one risk.
ChatGPT as weekly health advisor for 300 million people.
Residual assumes only items marked in place. Highlighted rows are the remaining work needed to reach a composite of 12.
The product may educate. It may not prescribe, and it must push emergencies to human care.
Consumer labs · expedited 3 weeks · normal 3 months · −1 L · −1 C · −1 U
If it behaves like a device, it is licensed like one.
FDA / MHRA-class regulators · expedited 6 months · normal 1.5 years · −1 L · −1 C · −0 U
No naked imperative. Show the evidence grade and the date.
Labs and medical publishers · expedited 4 weeks · normal 4 months · −0 L · −1 C · −0 U